TEENA RUBY CHAVIS (NPI# 1336767185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336767185 |
| Entity Type | Individual |
| Full Name | TEENA RUBY CHAVIS |
| Credential | ACNPC-AG |
| Practice Address |
3000 New Bern Ave Ste 1100 Raleigh NC 27610-1231 |
| Practice Telephone | 9192336333 |
| Mailing Telephone | 9192336333 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 5013295 | NC | Other Service Providers |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
5013295 | NC | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5013295 | NC | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | 5013295 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
5013295 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5013295 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
5013295 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
5013295 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 277 Vista Creek Pl, Cary, NC 275116734 | 9192180395 |
| Street Address |
3000 NEW BERN AVE STE 1100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821010067 | Walter Tan | Internal Medicine | 3000 New Bern Ave Ste 1100, Wpp - Structural Heart, Raleigh, NC 27610-1231 | 2006-07-24 |
| 1891323002 | Lauren Scarfo | Physician Assistant | 3000 New Bern Ave Ste 1100, Raleigh, NC 27610-1231 | 2020-04-01 |
| 1336701762 | Bonnie Lauren Howard Parker | Nurse Practitioner | 3000 New Bern Ave Ste 1100, Raleigh, NC 27610-1231 | 2019-07-05 |
| 1518472976 | Jonathan Elliott Van Hoose | Nurse Practitioner | 3000 New Bern Ave Ste 1100, Raleigh, NC 27610-1231 | 2017-12-07 |
| 1174928469 | Albert Terry Simeone Jr. | Physician Assistant | 3000 New Bern Ave Ste 1100, Raleigh, NC 27610-1231 | 2014-10-29 |
| 1831363985 | Judson B Williams | Surgery | 3000 New Bern Ave Ste 1100, Raleigh, NC 27610-1231 | 2008-04-19 |
| 1437257250 | Lance Eric Landvater | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3000 New Bern Ave Ste 1100, Raleigh, NC 27610 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406671 | Lilly Danielle Appleberry | Nurse Practitioner | 6005 Clarks Fork Dr, Raleigh, NC 27616-5821 | 2020-10-30 |
| 1891318739 | Christopher Paul Murphy | Nurse Practitioner | 11200 Governor Manly Way Ste 23, Raleigh, NC 27614-8599 | 2020-05-27 |
| 1669095139 | Shannon Yahyapour | Nurse Practitioner | 1528 Shadowood Ln, Raleigh, NC 27612-5917 | 2020-05-19 |
| 1134752181 | Pamela Liane Harris Claxton | Nurse Practitioner | 3708 San Pablo Dr, Raleigh, NC 27616-4540 | 2020-02-18 |
| 1083253033 | Brenda Lee Gartrell | Nurse Practitioner | 2000 Red Quartz Dr, Raleigh, NC 27610-5634 | 2019-12-21 |
| 1154979227 | Bethany Bartholomew | Nurse Practitioner | 10941 Raven Ridge Rd Ste 201, Raleigh, NC 27614-6487 | 2019-08-30 |
| 1831750181 | Becky L Milam | Nurse Practitioner | 5900 Six Forks Rd Ste 200, Raleigh, NC 27609-8226 | 2019-06-27 |
| 1275034357 | Matthew O'donnell | Nurse Practitioner | 6500 Creedmoor Rd Ste 110, Raleigh, NC 27613-3698 | 2018-02-23 |
| 1356852792 | Meredith Tschoke | Nurse Practitioner | 4505 Falls of Neuse Rd Ste 650, Raleigh, NC 27609-2523 | 2017-10-12 |
| 1992174775 | Chun Young Hong | Nurse Practitioner | 3414 Six Forks Rd., Raleigh, NC 27609 | 2015-09-22 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.